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No. 6265684 Name MACFARLANE ROY residing at 1483 W. Main St. Willimantic, Conn. Age 30 years. Date of order of admission Dec.12, 1944 Date certificate issued Dec. 12, 1944 by the Superior Court at Windham, Conn. Petition No. 3753 R (Complete MaFarlane and true signature of holder)

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